Beckly House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.
At our last assessment we rated this key question Good. At this assessment the rating has remained Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

We found that assessments on people were thorough and detailed, reflecting a person-centred approach tailored to each individual’s unique needs. Care plans, health records, and behaviour support plans were robust, accurate, and regularly reviewed to ensure they reflected people’s current assessed needs. These documents provided clear, specific guidance for staff, including detailed information about people’s individual communication preferences and requirements.

Staff demonstrated a strong understanding of each person’s needs and understood identifying potential triggers for distress, ensuring strategies to minimise these were embedded within support plans.

Where people had complex communication needs, assessments captured alternative communication methods and non-verbal cues, enabling staff to interpret and respond appropriately. The involvement of relatives and relevant professionals in assessments further ensured a holistic understanding of people’s needs, supporting continuity and consistency in care.

Relatives told us, "We are involved in the planning of care, they invite us to meetings, and we discuss what [person] wants to do, and we all choose what [person] wants and needs. We get phone calls to keep us updated if anything changes."

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff were proactive in monitoring people’s health and wellbeing, with care records showing regular reviews of support plans in response to changing needs. Where people experienced changes in behaviour, mood, or physical health, staff recorded these in detail and adapted care strategies accordingly. Where people lacked verbal communication, staff used alternative communication methods and observed behavioural cues to ensure people’s needs were understood and responded to appropriately.

Staff worked collaboratively with external professionals, including learning disability nurses, GPs and behavioural specialists, to review and improve outcomes for people. Behaviour monitoring tools were utilised to track behavioural patterns and guide future care planning. This enabled staff to detect early signs of health deterioration or emotional distress, leading to timely interventions and better health outcomes. One relative told us, "They always know when something is wrong and get help straight away. I feel reassured they really know my family member well."

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

We observed staff consistently seeking and gaining consent before carrying out any care or support tasks. For people who were unable to verbally communicate their wishes, staff used appropriate techniques and carefully interpreted non-verbal cues to ensure consent was obtained in a respectful manner.

Care records demonstrated involvement from relatives in care planning and regular reviews, with consent to care being formally obtained prior to admission. Mental Capacity Act (MCA) assessments and Best Interests Decisions (BID) were in place for all relevant aspects of care and treatment, ensuring that decisions were made in line with legal requirements and the principles of mental capacity.

Staff demonstrated a clear understanding of consent and capacity, embedding these principles into daily practice to respect and uphold people’s rights.

One relative told us, "[Person] is a very strong character, if they do not have something done in the order they want, they are strong and will not have it. Staff know they have to work to [persons] own routine and do daily tasks in the way they want, and they do this with them."